Individual
CHRISTOPHER PTAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
5626 MYRTLE AVE, RIDGEWOOD, NY 11385-4736
(718) 571-9714
Mailing address
22 PARKWOLD DR W, VALLEY STREAM, NY 11580-2130
(516) 547-7236
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
031790
NY
Other
Enumeration date
04/23/2024
Last updated
04/23/2024
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